JACQUELINE LEE (NPI# 1295346385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295346385 |
| Entity Type | Individual |
| Full Name | JACQUELINE LEE |
| Practice Address |
4100 Bosque Blvd Waco TX 76710-4815 |
| Practice Telephone | 2547517215 |
| Mailing Telephone | 5127869525 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64935 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649705641 | Jacqueline Lee | Driver | 3735 Brighton Springs Ln, Katy, TX 77449-5076 | 2017-04-27 |
| 1962857102 | Jacqueline Christine Lee | Obstetrics & Gynecology | 250 E Superior St Ste 5-2177, Chicago, IL 60611-2914 | 2016-04-25 |
| 1225371065 | Jacqueline Lee | Day Training, Developmentally Disabled Services | 45 Caddy Rd, Rotonda West, FL 33947-2217 | 2013-03-29 |
| 1871120154 | Jacqueline Lee | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2020-03-25 |
| 1831695006 | Jacqueline Lee | Student in an Organized Health Care Education/Training Program | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2018-04-04 |
| 1285138719 | Jacqueline Lee | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303 | 2018-03-20 |
| 1962864546 | Jacqueline Lee | Pharmacist | 1057 Boston Post Rd, Guilford, CT 06437-2644 | 2016-03-23 |
| 1255711388 | Jacqueline Lee | Counselor | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2015-06-03 |
| 1962813063 | Jacqueline Lee | Counselor | 3206 Hillsdale Ln, Kissimmee, FL 34741-7562 | 2014-05-13 |
| 1740620988 | Jacqueline Claire Lee | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-07-02 |
| Street Address |
4100 BOSQUE BLVD |
| City | WACO |
| State | TX |
| Zip Code | 76710-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033124078 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2006-07-29 |
| 1992316004 | Kayla Nicole Brahm | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2020-08-12 |
| 1194380865 | Oluwabukola Salami | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2019-05-07 |
| 1427456250 | Bniyam Huluka | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2014-12-10 |
| 1457750333 | Hoang Ho | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2014-08-18 |
| 1750707451 | Phillip Atchison | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2014-03-05 |
| 1932443454 | Stephen Ekoko | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2012-11-21 |
| 1972880722 | Clayton Reece Boyd | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2011-11-08 |
| 1679856173 | Olanrewaju Samuel Ayileka | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2011-09-21 |
| 1659672426 | Brian D Mccarty | Pharmacist | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2010-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171054 | Jeanne Duncan Waggener | Pharmacist | 96 Sugar Creek Pl, Waco, TX 76712-3408 | 2020-07-21 |
| 1841708518 | Pratik R Shah | Pharmacist | 5210 Bagby Ave Apt 121, Waco, TX 76711-2309 | 2018-01-16 |
| 1336674449 | Timothy Morgan | Pharmacist | 7524 Bosque Blvd Ste N&o, Waco, TX 76712-3779 | 2017-04-26 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1851768527 | Van Nguyen | Pharmacist | 1300 Placid Cir, Apartment 2302, Waco, TX 76706-4501 | 2015-08-28 |
| 1922404656 | Judd Owen Ramsey | Pharmacist | 1600 Providence Dr Ste 101, Waco, TX 76707-2261 | 2014-11-06 |
| 1548608797 | Herbert Lee Svec | Pharmacist | 284 Brazos Oaks Dr, Waco, TX 76705-5211 | 2013-06-10 |
| 1336428846 | Jenessa Defrees Burney | Pharmacist | 2601 Eldridge Ln, Waco, TX 76710-1090 | 2011-08-15 |
| 1851607485 | Paul Kitchens | Pharmacist | 3630 Interstate 35 S, Waco, TX 76706-3755 | 2010-08-19 |
| 1265747307 | Heather Brooke Davis | Pharmacist | 801 Ih 35 N, Waco, TX 76705-2874 | 2010-08-12 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.